A Case of Third-degree Atrioventricular Block after Cardiac Radiofrequency Ablation Treated with the Method of Boosting <italic style="font-style: italic">Qi</italic>， Warming <italic style="font-style: italic">Yang</italic> and Unblocking Collaterals

LUO Wenkuan; LU Jianqi; TANG Meiling; HUANG Puwei; ZHOU Jiatan; YANG Min

doi:10.13288/j.11-2166/r.2023.19.019

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A Case of Third-degree Atrioventricular Block after Cardiac Radiofrequency Ablation Treated with the Method of Boosting Qi， Warming Yang and Unblocking Collaterals

更新时间：2023-09-26

- A Case of Third-degree Atrioventricular Block after Cardiac Radiofrequency Ablation Treated with the Method of Boosting Qi， Warming Yang and Unblocking Collaterals
- Journal of Traditional Chinese Medicine Vol. 64, Issue 19, Pages: 2049-2052(2023)
- 作者机构：
  
  1.广西中医药大学，广西壮族自治区南宁市西乡塘区明秀东路179号，530000
  2.广西中医药大学第一附属医院
- 作者简介：
- 基金信息：
- DOI：10.13288/j.11-2166/r.2023.19.019
  CLC：
- Received：08 February 2023，
  
  Revised：2023-08-08，
  
  Published：02 October 2023
- 稿件说明：
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罗文宽,卢健棋,唐梅玲等.益气温阳通络法治疗心脏射频消融术后三度房室传导阻滞1例[J].中医杂志,2023,64(19):2049-2052.

LUO Wenkuan,LU Jianqi,TANG Meiling,et al.A Case of Third-degree Atrioventricular Block after Cardiac Radiofrequency Ablation Treated with the Method of Boosting Qi， Warming Yang and Unblocking Collaterals[J].Journal of Traditional Chinese Medicine,2023,64(19):2049-2052.
罗文宽,卢健棋,唐梅玲等.益气温阳通络法治疗心脏射频消融术后三度房室传导阻滞1例[J].中医杂志,2023,64(19):2049-2052. DOI： 10.13288/j.11-2166/r.2023.19.019.

LUO Wenkuan,LU Jianqi,TANG Meiling,et al.A Case of Third-degree Atrioventricular Block after Cardiac Radiofrequency Ablation Treated with the Method of Boosting Qi， Warming Yang and Unblocking Collaterals[J].Journal of Traditional Chinese Medicine,2023,64(19):2049-2052. DOI： 10.13288/j.11-2166/r.2023.19.019.

摘要

三度房室传导阻滞是一种严重的缓慢性心律失常，目前药物治疗效果欠佳，指南推荐行心脏永久起搏器植入治疗，但并非多数患者的选择。报告运用益气温阳通络法治疗心脏射频消融术后三度房室传导阻滞1例，中医辨证为阳气亏虚、痰瘀阻络，治以益气温阳升陷、化痰活血通络为法，方予保元汤合麻黄附子细辛汤加减。治疗近7个月后，患者心悸、气短、乏力等临床症状基本痊愈，心电图恢复正常。

Abstract

Third-degree atrioventricular block is a severe bradyarrhythmia， for which there is no proven effective drugs currently. Permanent pacemaker implantation recommended by the guideline， however， is not suitable for most patients. This paper reported on a case of third-degree atrioventricular block after cardiac radiofrequency ablation who has been treated with the method of boosting

， warming yang and unblocking collaterals. The TCM syndrome of this case was diagnosed as

yang

depletion and phlegm-stasis blocking the collaterals， for which

Baoyuan Decoction

and

Mahuang Fuzi Xixin Decoction

（保元汤合麻黄附子细辛汤） in modification has been used to boost

， warm

yang

and raise the sunken， dissolve phlegm， invigorate blood and unblock collaterals. After nearly 7-month treatment， the symptoms such as palpitations， shortness of breath and fatigue were basically cured， and the electrocardiogram returned to the normal.

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references

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A Case of Third-degree Atrioventricular Block after Cardiac Radiofrequency Ablation Treated with the Method of Boosting Qi， Warming Yang and Unblocking Collaterals

DOI：10.13288/j.11-2166/r.2023.19.019

摘要

Abstract

关键词

Keywords

references